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Journal of Child Neurology
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*Aphasia
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Fluent Aphasia in Children: Definition and Natural History

Susan K. Klein, MD

Departments of Neurology and Pediatrics, Albert Einstein College of Medicine

David Masur, PhD

Departments of Neurology and Pediatrics, Albert Einstein College of Medicine

Karen Farber, MA

Departments of Neurology and Pediatrics, Albert Einstein College of Medicine

Shlomo Shinnar, MD, PhD

Montefiore Medical Center Bronx, NY

Isabelle Rapin, MD

Departments of Neurology and Pediatrics, Albert Einstein College of Medicine

We compared the course of a preschool child we followed for 4 years with published reports of 24 children with fluent aphasia. Our patient spoke fluently within 3 weeks of the injury. She was severely anomic and made many semantic paraphasic errors. Unlike other children with fluent aphasia, her prosody of speech was impaired initially, and her spontaneous language was dominated by stock phrases. Residual deficits include chronic impairment of auditory comprehension, repetition, and word retrieval. She has more disfluencies in spontaneous speech 4 years after her head injury than acutely. School achievement in reading and mathematics remains below age level. Attention to the timing of recovery of fluent speech and to the characteristics of receptive and expressive language over time will permit more accurate description of fluent aphasia in childhood. ( J Child Neurol 1992;7:50-59).

Journal of Child Neurology, Vol. 7, No. 1, 50-59 (1992)
DOI: 10.1177/088307389200700109
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